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Factors Responsible for Delay in Obtaining Interruption of Pregnancy

From the Departments of Community Health and of Gynecology and Obstetrics, Albert Einstein College of Medicine, and the Department of Social Medicine, Montefiore Hospital and Medical Center, Bronx, NY.

Abstract

There is good evidence that abortions late in pregnancy are associated with higher morbidity and greater patient stress than are those performed earlier. In the first year of the liberalized New York State abortion law, over 20% of the legal abortions were performed after the twelfth week of pregnancy. To explore the factors which lead women to obtain abortions after the twelfth week, representative samples of women undergoing suction curettage (early) and saline instillation (late) were interviewed. Women having a late abortion were more likely to be younger, single and nulliparous, and less likely to have ever used contraception than were women having early abortions. Of the patients undergoing late abortion, 55% were delayed for what were classified as personal reasons while 26% were delayed for reasons attributable to the medical care system. These findings suggest approaches for reducing the delay in obtaining abortion.

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